Hospital Costs > In Wisconsin > Aurora Baycare Medical Ctr, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 134 | 430 / 29 | $37.991,70 | 641 / 22 | $15.482,80 | 518 / 54 | $10.345,10 | 515 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 100 | 416 / 24 | $33.995,00 | 998 / 38 | $11.853,80 | 1162 / 35 | $10.422,20 | 1144 / 31 |
Spinal Fusion Except Cervical W/O Mcc | 64 | 130 / 4 | $67.434,50 | 324 / 16 | $29.041,70 | 236 / 19 | $20.093,00 | 235 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 42 | 165 / 19 | $24.055,80 | 1166 / 45 | $7.035,43 | 1496 / 36 | $6.256,76 | 1490 / 41 |
G.I. Hemorrhage W Cc | 40 | 178 / 19 | $17.763,80 | 549 / 12 | $6.653,40 | 1412 / 35 | $5.835,00 | 1409 / 40 |
Cervical Spinal Fusion W/O Cc/Mcc | 30 | 74 / 1 | $39.170,40 | 181 / 1 | $16.385,50 | 259 / 6 | $11.414,00 | 259 / 4 |
Heart Failure & Shock W Mcc | 28 | 256 / 31 | $25.086,00 | 743 / 29 | $9.422,61 | 1275 / 32 | $8.686,61 | 1272 / 35 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 13 | $13.262,60 | 756 / 18 | $5.214,35 | 898 / 29 | $2.746,81 | 894 / 18 |
Renal Failure W Cc | 26 | 195 / 26 | $15.353,70 | 495 / 15 | $6.786,50 | 1168 / 35 | $5.344,46 | 1160 / 31 |
Heart Failure & Shock W Cc | 24 | 254 / 31 | $18.166,30 | 952 / 36 | $7.395,54 | 1248 / 50 | $5.497,21 | 1244 / 39 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 17 | $25.186,00 | 808 / 27 | $7.002,04 | 1099 / 27 | $5.994,04 | 1096 / 29 |
Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 20 | $25.530,00 | 1169 / 34 | $8.035,78 | 1034 / 31 | $6.275,96 | 1029 / 20 |
Cellulitis W/O Mcc | 22 | 167 / 26 | $15.413,40 | 908 / 30 | $6.686,59 | 1294 / 51 | $4.527,36 | 1288 / 34 |
Pulmonary Edema & Respiratory Failure | 22 | 181 / 26 | $31.033,10 | 1098 / 42 | $8.368,82 | 1279 / 30 | $7.365,23 | 1276 / 32 |
Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 19 | $43.566,80 | 787 / 32 | $12.724,50 | 1197 / 34 | $11.624,90 | 1183 / 36 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 12 | $107.192,00 | 573 / 17 | $32.672,00 | 743 / 10 | $31.903,90 | 737 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 15 | $35.303,10 | 536 / 20 | $10.563,00 | 652 / 12 | $9.756,86 | 651 / 15 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 29 | $15.903,00 | 861 / 19 | $5.294,20 | 1552 / 39 | $4.175,30 | 1539 / 38 |
Major Small & Large Bowel Procedures W Cc | 20 | 88 / 12 | $52.043,20 | 467 / 11 | $18.184,80 | 348 / 19 | $13.040,80 | 345 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 10 | $48.133,90 | 570 / 9 | $18.173,90 | 688 / 18 | $12.932,80 | 680 / 6 |
Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 31 | $25.914,60 | 762 / 30 | $9.218,68 | 1236 / 31 | $8.199,74 | 1236 / 36 |
Seizures W/O Mcc | 18 | 90 / 11 | $16.563,30 | 346 / 5 | $5.236,33 | 593 / 7 | $4.239,61 | 590 / 9 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 18 | 78 / 6 | $40.545,90 | 180 / 7 | $17.816,70 | 209 / 16 | $11.110,80 | 207 / 3 |
Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 32 | $19.441,70 | 1072 / 37 | $7.675,11 | 1044 / 51 | $5.118,94 | 1041 / 26 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 15 | $35.810,00 | 648 / 17 | $11.383,00 | 1023 / 16 | $10.373,10 | 1020 / 17 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 24 | $17.477,50 | 811 / 27 | $5.495,12 | 1308 / 27 | $4.667,12 | 1303 / 30 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 6 | $31.673,80 | 324 / 9 | $7.227,62 | 403 / 3 | $6.015,62 | 402 / 7 |
G.I. Hemorrhage W Mcc | 16 | 105 / 15 | $27.788,60 | 256 / 8 | $10.832,70 | 705 / 7 | $10.228,70 | 705 / 11 |
Renal Failure W Mcc | 15 | 180 / 21 | $25.957,30 | 518 / 15 | $9.401,13 | 736 / 13 | $8.432,60 | 736 / 10 |
Diabetes W Cc | 15 | 77 / 10 | $14.581,90 | 308 / 2 | $5.714,67 | 861 / 8 | $4.827,20 | 857 / 10 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 14 | 182 / 23 | $43.410,30 | 104 / 5 | $13.718,90 | 528 / 10 | $10.707,10 | 525 / 12 |
Medical Back Problems W/O Mcc | 14 | 107 / 19 | $19.793,40 | 499 / 14 | $5.884,57 | 715 / 14 | $4.585,71 | 712 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 15 | $22.343,50 | 741 / 17 | $5.267,77 | 915 / 13 | $4.155,15 | 911 / 17 |
G.I. Obstruction W Cc | 13 | 79 / 16 | $17.805,40 | 496 / 16 | $6.059,23 | 1114 / 19 | $5.318,31 | 1111 / 24 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 15 | $20.546,90 | 440 / 10 | $6.507,50 | 844 / 7 | $5.907,50 | 840 / 14 |
Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 37 | $13.265,90 | 678 / 11 | $5.263,25 | 1609 / 33 | $4.452,58 | 1598 / 37 |
Transient Ischemia | 12 | 113 / 14 | $23.821,20 | 905 / 16 | $6.609,08 | 585 / 20 | $3.459,42 | 582 / 8 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 17 | $25.553,80 | 1288 / 22 | $5.555,36 | 1252 / 13 | $4.895,00 | 1244 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 30 | $16.972,10 | 1204 / 30 | $4.990,00 | 1840 / 31 | $4.547,82 | 1834 / 39 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 11 | 40 / 5 | $31.635,10 | 46 / 1 | $11.477,50 | 42 / 1 | $10.279,00 | 42 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 20 | $19.130,50 | 365 / 6 | $8.011,27 | 500 / 20 | $6.020,45 | 497 / 12 |
Seizures W Mcc | 11 | 55 / 8 | $37.878,40 | 322 / 5 | $13.692,60 | 139 / 7 | $8.003,00 | 139 / 2 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 11 | $18.474,40 | 313 / 13 | $7.385,55 | 382 / 23 | $4.944,09 | 382 / 10 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 24 | $38.946,70 | 744 / 21 | $12.173,40 | 974 / 14 | $11.623,50 | 964 / 18 |
Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 9 | $124.831,00 | 258 / 8 | $36.085,50 | 143 / 10 | $24.098,40 | 143 / 3 |
Cervical Spinal Fusion W Cc | 11 | 42 / 4 | $40.439,00 | 39 / 1 | $17.699,00 | 166 / 1 | $16.491,70 | 165 / 1 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 11 | $13.636,10 | 414 / 4 | $4.461,36 | 910 / 9 | $3.696,27 | 907 / 13 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 22 | $38.190,50 | 884 / 26 | $8.329,45 | 870 / 23 | $6.057,91 | 867 / 17 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 15 | $73.164,40 | 149 / 5 | $28.921,60 | 369 / 6 | $28.264,20 | 367 / 9 | Total 49 procedures | 1.120 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.